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Expertise and patient-centeredness: ...

Kendall, Peggy Sue.

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Expertise and patient-centeredness: Examining the doctor-patient interaction.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Expertise and patient-centeredness: Examining the doctor-patient interaction./
Author:	Kendall, Peggy Sue.
Description:	189 p.
Notes:	Source: Dissertation Abstracts International, Volume: 65-08, Section: B, page: 4339.
Contained By:	Dissertation Abstracts International65-08B.
Subject:	Psychology, Social. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3142617
ISBN:	049600512X

Expertise and patient-centeredness: Examining the doctor-patient interaction.
Kendall, Peggy Sue.

Expertise and patient-centeredness: Examining the doctor-patient interaction. - 189 p.

Source: Dissertation Abstracts International, Volume: 65-08, Section: B, page: 4339.

Thesis (Ph.D.)--University of Minnesota, 2004.

In an era where patients receive health care characterized as impersonal and untrustworthy, physicians are encouraged to adopt a more patient-centered approach to medicine that emphasizes common ground and caring. While the approach has positive outcomes, including enhanced trust and compliance, it is rarely critically analyzed. It is hypothesized that when the patient-centered approach is used as an exclusive interpersonal strategy, physicians may give up their ability to use expert power and may be perceived as less medically expert. This study involves two research questions: "what is the relationship between patient-centeredness and behaviors that communicate expertise?" and "how can a physician effectively communicate medical expertise?"

ISBN: 049600512XSubjects--Topical Terms:

529430
Psychology, Social.

Expertise and patient-centeredness: Examining the doctor-patient interaction.
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100 1 $a Kendall, Peggy Sue. $3 1939937
245 1 0 $a Expertise and patient-centeredness: Examining the doctor-patient interaction.
300 $a 189 p.
500 $a Source: Dissertation Abstracts International, Volume: 65-08, Section: B, page: 4339.
500 $a Adviser: Dean Hewes.
502 $a Thesis (Ph.D.)--University of Minnesota, 2004.
520 $a In an era where patients receive health care characterized as impersonal and untrustworthy, physicians are encouraged to adopt a more patient-centered approach to medicine that emphasizes common ground and caring. While the approach has positive outcomes, including enhanced trust and compliance, it is rarely critically analyzed. It is hypothesized that when the patient-centered approach is used as an exclusive interpersonal strategy, physicians may give up their ability to use expert power and may be perceived as less medically expert. This study involves two research questions: "what is the relationship between patient-centeredness and behaviors that communicate expertise?" and "how can a physician effectively communicate medical expertise?"
520 $a Two studies were undertaken. The first involved 36 medical residents who participated in a simulated patient exercise. Tapes were submitted to the analysis of naive theorists and trained coders who identified physician behaviors that communicated expertise. Tapes were also evaluated for overall expertise and patient-centeredness. The second study served as a pilot to examine how these physician behaviors were manifested in actual clinic settings.
520 $a No significant relationship was identified between patient-centeredness and medical expertise. It was hypothesized that legitimate power may actually be oppositional to referent power, rather than expert power. Future study that more clearly parses apart legitimate and expert power is recommended. It was also found that expert physicians tend to make more medical observations, provide more well explained treatment options, ask fewer questions, and demonstrate fewer awkward pauses than non-experts. Physicians who exhibit both expertise and patient centeredness were also able to mediate these expert tendencies to adjust for patient "information overload". While the studies can only be generalized to doctor-parent interactions in a clinic setting, with no conclusions drawn as to how specific patient characteristics may mediate recommendations, it is clear that certain physician behaviors can enhance both patient-centeredness and perceptions of physician expertise.
590 $a School code: 0130.
650 4 $a Psychology, Social. $3 529430
650 4 $a Health Sciences, Education. $3 1017921
650 4 $a Speech Communication. $3 1017408
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710 2 0 $a University of Minnesota. $3 676231
773 0 $t Dissertation Abstracts International $g 65-08B.
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791 $a Ph.D.
792 $a 2004
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3142617